Individual provider Active NPI

Calob Lamar Taylor, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1265122014
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1802 Issued in WY
Practice address
1217 S Greeley Hwy Ste B
Cheyenne, WY 82007-3063
Phone
(307) 202-4005
Fax
(307) 448-4708
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-1802 WY Primary

Addresses

Primary practice location

1217 S Greeley Hwy Ste B
Cheyenne, WY 82007-3063

Mailing address

5001 Grandview Ave
Cheyenne, WY 82009-4935
Phone (307) 640-3360

Other practice location 1

1518 Converse Ave
Cheyenne, WY 82001-5302
Phone (307) 640-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-1802WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie to Peaks Counseling Group Clinical CurrentSince Dec 7, 2025 Accepting new patients

Locations

1518 Converse Ave
Cheyenne, WY 82001
Phone (307) 640-3360

Interoperability endpoints

  • Direct secure messaging: calob.taylor.1@30920.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1265122014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 GRANDVIEW AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094935",
            "telephone_number": "307-640-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S GREELEY HWY STE B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820073063",
            "telephone_number": "307-202-4005",
            "fax_number": "307-448-4708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1518 Converse Ave",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015302",
            "country_code": "US",
            "telephone_number": "307-640-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CALOB",
        "middle_name": "LAMAR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.